0001437749-21-010502.txt : 20210430 0001437749-21-010502.hdr.sgml : 20210430 20210430174332 ACCESSION NUMBER: 0001437749-21-010502 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210428 FILED AS OF DATE: 20210430 DATE AS OF CHANGE: 20210430 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Samant Rahul D CENTRAL INDEX KEY: 0001726120 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34221 FILM NUMBER: 21880213 MAIL ADDRESS: STREET 1: C/O DELTA AIR LINES, INC. STREET 2: P.O. BOX 20574, DEPT. 981 CITY: ATLANTA STATE: GA ZIP: 30320 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ModivCare Inc CENTRAL INDEX KEY: 0001220754 STANDARD INDUSTRIAL CLASSIFICATION: TRANSPORTATION SERVICES [4700] IRS NUMBER: 860845127 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4700 SOUTH SYRACUSE STREET STREET 2: 4TH FLOOR CITY: DENVER STATE: CO ZIP: 80237 BUSINESS PHONE: 303-728-7003 MAIL ADDRESS: STREET 1: 4700 SOUTH SYRACUSE STREET STREET 2: 4TH FLOOR CITY: DENVER STATE: CO ZIP: 80237 FORMER COMPANY: FORMER CONFORMED NAME: PROVIDENCE SERVICE CORP DATE OF NAME CHANGE: 20030226 4 1 rdgdoc.xml FORM 4 X0306 4 2021-04-28 0001220754 ModivCare Inc MODV 0001726120 Samant Rahul D 4700 SOUTH SYRACUSE STREET, 4TH FLOOR DENVER CO 80237 1 Common Stock 2021-04-28 4 A 0 649 0 A 649 D /s/ Kathryn Stalmack by Power of Attorney 2021-04-30